| NPI | 1013363852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 801585) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 325318) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2020-10-05 |